Active NPI
Michelle Victoria Castilla, CNP
- Family Nurse Practitioner
- Grove City, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17302
- Practice address
- 5775 N Meadows Dr Ste C
Grove City, OH 43123-7300 - Phone
- (614) 396-2684
- Fax
- (614) 396-2480
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17302 | OH | Primary |
Addresses
Primary practice location
5775 N Meadows Dr Ste C
Grove City, OH 43123-7300
Mailing address
701 Tech Center Dr Ste 250
Columbus, OH 43230-1987
Phone (614) 878-0600
Other practice location 1
350 W Wilson Bridge Rd
Worthington, OH 43085-2585
Phone (614) 396-2684
Other practice location 2
701 Tech Center Dr
Gahanna, OH 43230-1987
Phone (614) 396-2684
Other names 1
- Michelle Victoria Velazquez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5775 N Meadows Dr
Suite C
Grove City, OH 43123-8604
Phone (614) 221-9262
Hospital & facility affiliations
- Mount Carmel East & West
- Mount Carmel St Ann'S
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17302 | OH | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Urology Group, LLC | Current | Accepting new patients | |
| Central Ohio Urology Group, LLC | Current | Accepting new patients |
Locations
8200 Hazelton Etna Rd SW
Etna, OH 43062
Phone (614) 221-5189
701 Tech Center Dr
Ste 250
Gahanna, OH 43230
620 Morrison Rd
#A
Gahanna, OH 43230
701 Tech Center Dr
Ste 100
Gahanna, OH 43230
Phone (440) 724-4498
701 Tech Center Dr
Gahanna, OH 43230
Phone (614) 944-4806
5775 N Meadows Dr
Ste C
Grove City, OH 43123
Phone (614) 221-9262
350 W Wilson Bridge Rd
Ste 100
Worthington, OH 43085
Phone (614) 268-2323
350 W Wilson Bridge Rd
Worthington, OH 43085
Phone (614) 796-2900
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Gahanna, OH
- NPI 1396780466
-
- Urology Physician
- Gahanna, OH
- NPI 1073907309
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Westerville, OH
- NPI 1417037045
-
- General Acute Care Hospital
- Grove City, OH
- NPI 1710067376
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1649653254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 TECH CENTER DR STE 250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432301987",
"telephone_number": "614-878-0600",
"fax_number": "614-396-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 N MEADOWS DR STE C",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431237300",
"telephone_number": "614-396-2684",
"fax_number": "614-396-2480"
}
],
"practiceLocations": [
{
"address_1": "350 W Wilson Bridge Rd",
"address_purpose": "LOCATION",
"city": "Worthington",
"state": "OH",
"postal_code": "430852585",
"country_code": "US",
"telephone_number": "614-396-2684",
"fax_number": "614-396-2480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 Tech Center Dr",
"address_purpose": "LOCATION",
"city": "Gahanna",
"state": "OH",
"postal_code": "432301987",
"country_code": "US",
"telephone_number": "614-396-2684",
"fax_number": "614-396-2480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLA",
"first_name": "MICHELLE",
"middle_name": "VICTORIA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-30",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "17302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "VELAZQUEZ",
"middle_name": "VICTORIA",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.